Managing Gum Disease With Laser Therapy

Dental Designs Clinic Singapore

10 Jul, 2024

We all prefer effective but non-invasive treatments that gives minimal discomfort and faster recovery times. Traditional surgical procedures can be daunting due to concerns about pain, swelling and other potential complications. Lasers have emerged as a significant advancement in dental care, providing a minimally invasive alternative to conventional surgical techniques. But how exactly do dentists use lasers to treat gum problems?

At Dental Designs Clinic, we offer Laser-Assisted Periodontal Treatment (LAPT), a minimally invasive procedure that uses laser technology to target infected gum tissue and help reduce inflammation. LAPT is not a standalone treatment. It works alongside traditional gum therapy as an adjunctive treatment for selected cases, helping to enhance the cleaning process. This is especially so for deeper gum pockets to support better healing outcomes. 

Let’s take a closer look at how this procedure works and how it has changed the way gum disease can be treated. 

What is Laser Therpy?

LASER stands for “Light Amplification by Stimulated Emission of Radiation.” Laser technology was first introduced into dentistry in the 1990s and has since been used across various dental procedures to support minimally invasive treatment approaches. Depending on the type of laser used, it may help remove hard or soft tissue, reduce bacteria, or support healing during treatment. 

Today, laser therapy is considered a suitable and effective adjunctive tool for managing various inflammatory and infectious dental conditions, particularly in periodontal (gum) therapy. It is typically used alongside conventional treatment methods for access to affected areas, to reduce bacterial load, and support tissue healing. 

 

How to manage gum disease with laser therapy?

Poor oral hygiene can lead to dental plaque build-up, causing various stages of disease. As the disease progresses, it can result in swollen gums, bad breath and even bone loss, threatening the support your teeth rely on.

Laser therapy for gum disease works by targeting infected tissue in gum pockets. The laser (such as Nd:YAG or Er:YAG) uses focused light energy to target and eliminate bacteria, therefore creating a cleaner environment that supports healing. Laser therapy improves the overall effectiveness of traditional gum therapy, particularly for deep gum pockets where access can be more difficult.

Gum-surgery-with-laser

 

What are the differences between laser therapy and traditional gum treatment?

Traditional gum treatments differ from laser therapy for gums in the following ways:

  Traditional Treatments Laser Therapy
Procedure Invasive; involves surgical techniques to cut into gums Minimally invasive; uses laser technology to target diseased tissue
Patient Comfort May involve more discomfort due to invasive procedures More comfortable treatment experience
Minimal Bleeding More bleeding during surgery Minimal bleeding during treatment
Stitches Required May not be required

 

 

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How laser therapy works for gum disease?

Laser therapy is used together with traditional gum therapy to support cleaning and healing. Every case is different. Laser may be utilised to treat gum disease in this way: 

healthy tooth and periodontitis tooth differences

1) Target infected gum tissue
As part of traditional gum treatment, your dentist or periodontist may use a dental laser to target inflamed or infected tissue surrounding the root surface of the tooth. This is especially so for deeper gum pockets where access is limited and where bacteria tend to accumulate.

2) Deep cleaning below the gum line
A thorough deep cleaning is then performed to remove plaque and tartar deposits from beneath the gum line. This step is important in reducing the bacteria responsible for gum disease and slowing its progression.

3) Root surface smoothening (root planing)
Your dentist will then smooth the root surfaces of the teeth. By reducing rough areas where bacteria can easily attach, it becomes more difficult for plaque to build up again, lowering the risk of future infection.

4) Healing and review appointments
After treatment, the gums will gradually heal over time. Follow-up review appointments are important during this period, as they allow your dentist to monitor healing, assess how the gums are responding, and determine whether additional care is needed.

Note: Laser periodontal therapy is still being actively studied. At present, there is limited evidence to show that laser-assisted treatment is consistently superior to traditional periodontal therapy alone. However, studies suggest that laser therapy may offer additional benefits for certain suitable patients when used as an adjunct to conventional deep cleaning rather than a replacement.

For example, a four-year study by Ciurescu, Codruta Elena et al in 2024 found that patients who received laser treatment alongside their regular deep cleaning showed noticeably better results: their gum pockets became shallower, their gums bled less, and the gum tissue reattached more firmly to their teeth. 

 

Conclusion

Laser therapy can be seen as an effective and patient-friendly approach for managing gum issues, often offering therapeutic benefits when used along with traditional methods of gum disease management. However, is may not be suitable for every case. If you are considering laser therapy for gum disease, speak to your dentist to find out if it is the right option for you.

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Call us at : +65 6221 8284

 

References

  1. Ciurescu, Codruta Elena et al. “Laser Therapy Effects on Periodontal Status: A Randomized Study Using Gaussian Network Analysis and Structural Equation Modeling Approach.” Medicina (Kaunas, Lithuania) vol. 60,3 437. 6 Mar. 2024, doi:10.3390/medicina60030437

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